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Policies

Find VA policies on privacy and patient rights, family rights, visitation, and more.

Privacy and patient rights

Read VA's national privacy and patient rights policies

Family rights

Read VA's national family rights policy

Visitation policy

Before visiting a patient at a VA facility, review these guidelines: 

VAAAHS has implemented the following COVID-19 precautions to its visitor policy:

All patients and visitors must continue to wear masks and observe social distancing while at the LTC Charles S. Kettles VA Medical Center or Community Based Outpatients Clinics in Adrian, Flint, Jackson, or Toledo. Visitors will be screened for COVID-19 symptoms prior to entering any VAAAHS facility.

Visitors for outpatient procedures are highly discouraged at this time. However, Veterans attending any VAAAHS facility for outpatient appointments may have one visitor, if needed, to accompany them to the outpatient clinic, emergency department, or ambulatory procedural visit.

Inpatient visiting hours are from 8:00 a.m. to 7:00 p.m., daily. Inpatient Veterans receiving routine medical care are allowed one visitor at a time in their room. There is no time limit to the duration of the visit if it does not interfere with the ability to deliver care. VAAAHS staff may require certain visitors to wear additional Personal Protective Equipment.

Visitors wishing to see Veterans receiving End of Life care will be accommodated whenever possible. While visits should be limited and not interfere with the ability to deliver care, there is no absolute limit on the number or length of visits per day. Visiting hours for Veterans receiving End of Life care are 24 hours per day, 7 days per week. VAAAHS highly encourages collaboration between primary care teams and families of the Veteran receiving End of Life care.

All inpatient and outpatient visitors with non-urgent concerns should contact the Patient Advocates Office by emailing VHAANNPatientAdvocates@va.gov or call 734-845-5615 during normal business hours.

Emergency concerns after hours should call 734-845-5279 or 734-842-2122.

Visiting hours:

Call the medical center for specific ward visiting hours and information.
Lieutenant Colonel Charles S. Kettles VA Medical Center: 734-769-7100

Visiting church members
If you’re a member of the religious community, we encourage you to visit patients who belong to your church or religious group. However, you’re not allowed to do general visitation by going from bed to bed, ward to ward, or unit to unit. 

Bringing food
You may bring small amounts of candy, fruit, and other food items if the nursing staff says they are appropriate for a patient's diet. You may not bring fresh fruit and flowers to patients who are receiving critical care, and you can’t eat or drink in those units.

Washing hands
You must follow hand-hygiene policy guidelines, which require you to practice good hand hygiene when you enter and exit patient rooms, and at other times as directed by staff.

Following infection-control guidelines
You must follow guidelines on infection-control signs and report to the nurses' station for instructions before you enter a patient's room.

Staying home if you are ill
If you have a communicable disease, you won't be allowed to visit patients inside the medical center.

Prohibited items
You're not allowed to bring weapons, cameras, or other prohibited items into the medical center, except when you're conducting official business authorized by the Director or their designee. If you have questions about what qualifies as official business, please contact the facility's Director. 

Giving privacy
Our staff may ask you to leave the room when they’re caring for patients. If a staff member asks you to leave a patient's room, you may continue your visit in the day room, waiting area, or any other public area of the facility.

Visiting seriously ill patients
Relatives and friends may visit patients who are seriously ill or in hospice care at any time of day, unless the staff doctor says no.

Visiting patients in restraints
In general, you won't be allowed to visit patients who are in restraints. If the treatment team decides that your visit could have a positive effect on the patient, then you may have a supervised visit with the patient when a staff member removes the restraints. Our staff will document how the patient responds to you and other visitors. 

Bringing children to visit
In extreme circumstances, children under 18 may visit with the permission of the physician and the charge nurse. An adult must accompany children at all times.

Limiting your visit
Our doctors may limit, restrict, or deny visits for the medical well-being of a patient.  We apologize for any inconvenience and appreciate your understanding. 

Prohibited items
You can't bring weapons, alcohol, or illegal drugs into the building.  Because the VA medical center is federal property, all visitors and bags may be searched.  

Security 

Our Police Service provides 24-hour patrols of the facility and parking lots. For general police assistance, please dial 734-845-3405. In case of an emergency, dial extension 52911 to report all suspicious or criminal activity, vehicle accidents, and personal property losses occurring on the grounds as soon as possible.

VA general visitation policy

The medical center respects the patient's right to make decisions about his or her care, treatment and services, and to involve the patient's family in care, treatment, and services decisions to the extent permitted by the patient or surrogate decision-maker. 

"Family" is defined as a group of two or more persons united by blood, or adoptive, martial, domestic partnership, or other legal ties. The family may also be a person or persons not legally related to the individual (such as significant other, friend or caregiver) whom the individual considers to be family. A family member may be the surrogate decision-maker, as defined in VHA Handbook 1004.02, if authorized to make care decisions for the individual, should he or she lose decision-making capacity or choose to delegate decision making to another. 

The medical center allows a family member, friend or other individual to be present with the patient for emotional support during the course of their stay. The medical center allows for the presence of a support individual of the patient's choice, unless the individual's presence infringes on others’ rights or safety, or is medically or therapeutically contraindicated. The individual may or may not be the patient's surrogate decision-maker or legally authorized representative. 

The hospital prohibits discrimination based on age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, and gender identity or expression.

Advance directives

When faced with difficult decisions about health care, you may struggle with the question of "what should be done?" These resources can help you deal with tough decisions about health care and how to plan for it.

Health Care Ethics Resources for Veterans, Patients, and Families

VA Form 10-0137 - VA Advance Directive: Durable Power of Attorney for Health Care and Living Will

What You Should Know about Advance Directives

Report patient quality of care concerns

Visit the Joint Commission page to report concerns you have about the quality of patient care.

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